Form 51t - Transaction Privilege Tax Election For Accounting And Reporting Expenses Credit - 2013

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FOR
CALENDAR YEAR
Transaction Privilege Tax Election for
ARIZONA FORM
20YY
51T
Accounting and Reporting Expenses Credit
Mail to: Arizona Department of Revenue, PO Box 29010, Phoenix, AZ 85038-9010
For assistance call: (602) 255-2060 or 1-800-843-7196 (statewide only).
Name of Reporting Entity
Employer Identification Number (EIN)
C/O
Social Security Number (SSN)
Mailing Address – number and street or PO Box
Business Telephone Number (with area code)
City, Town or Post Office
State
ZIP Code
Country
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
88
Entity Type – Check one:
L = Limited Liability Company
F = Consolidated
C = Combined
S = Separate Corporation
E = Estate
H = Subchapter S
P = Partnership
I = Sole Proprietor
T = Trust
81 PM
80 RCVD
Check this box if this is a change in election and
M M Y Y Y Y
enter the effective date:
.
A business entity that files a single Arizona income tax return which includes income from more than one transaction privilege tax
license, should file this election form with the Arizona Department of Revenue if it is expected that the credit for accounting and reporting
expenses for all transaction privilege tax licenses will meet or exceed the maximum $10,000 amount for the calendar year. This election
form should indicate how the credit will be allocated among the licensees. See Arizona Administrative Code rule R15‑5‑2007 for
additional information and requirements.
List all Arizona transaction privilege tax (TPT) licenses that will be part of this group subject to the election.
Please use whole dollar amounts in each election. If none, please enter zero.
Add/
TPT
Change/
Entity
Name of TPT Licensee
EIN
License No.
Election Amount
Delete
Type
1
$
.00
2
$
.00
3
$
.00
4
$
.00
5
$
.00
6
$
.00
7
$
.00
8
$
.00
9
$
.00
10 Total Credit. Total election amount cannot exceed $10,000 ........................................................... $
.00
Please
Sign
TAxPAYER’S SIgNATuRE
DATE
PAID PREPARER’S SIgNATuRE (other than taxpayer)
Here
TAxPAYER’S TITLE
PHONE NuMBER (with area code)
PAID PREPARER’S EIN OR SSN
ADOR 10150 (13)
DRAFT #6, Aug-13-13
DRAFT #1, Aug-27-13

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